Monday, December 14, 2015

Just Be

 
When was the last time you were truly present? When were you just wherever you were?
 
It is so easy during this season to get wrapped up in the busyness of holiday events, family gatherings, work responsibilities, academic tasks, and traffic.
 
We can easily become a "do-er" and just do, do, do. Have you ever driven on the expressway and realized that you drove 5 exits, but don't recall passing by any of them? Do you feel always in a rush? Are you feeling stressed out?
 
This month, I want to challenge you to develop your being skills. I am going to challenge myself as well and I welcome you to join me.
 
We can practice mindfulness wherever we are. This is being aware of our surroundings and internal sensations and accepting whatever there is to see, feel, touch, smell, taste, and think.
 
When we practice mindfulness, we can slow down and be while we do.
 
Let's give ourselves, our family, and our friends the present of being present.

Wednesday, November 11, 2015

Changing Leaves Changing You

Have you ever noticed how beautiful the fall season can be? The air is a bit crisper. The leaves are changing all sorts of colors. There are acorns scattered around for gathering. 
 
Have you ever noticed how ugly the fall season can be? The air is a bit crisper. The leaves are changing all sorts of colors. There are acorns scattered around for gathering. 
 
Did you get what I mean? The way we see things makes a difference with how we feel. We could love the crisp air, colorful leaves, and the sound of the acorns crunching under our feet as we walk. Or, we could dislike being colder, feel leaves changing is a sign of yucky weather to come, and be turned off by the mess of acorns on our properties. 
 
How do you see things? 
 
I want to challenge you to not only look, but to see your environment. The fall season is like our behavior. The leaves don't all change at the same time, nor do they all drop on the same day. Change is a process. We can view this as necessary time needed to create something beautiful, or become frustrated by the time it takes to finish. Yes, the trees look bare in the winter, but the new life in the spring is refreshing. What a wonder to appreciate-the beauty in seasonal changes. 
 
We have seasonal changes in our environment. Our lives have seasonal changes too. Maybe you’re living in a rough season right now. Remember, change happens slowly. It is healthy to appreciate and accept the thoughts and feelings we have and to understand the next season could be amazing.  
 
If you would like to learn more about seasons in our lives, feel free to contact me by phone, e-mail, or any of my social media accounts.

Friday, October 16, 2015

Climbing The Ladder

 
 
Have you ever looked at a big project and felt like you would never get it done? Maybe you felt overwhelmed by the amount of work or defeated by the challenges that stood in your way. Maybe you want to quit smoking but the idea of a life without cigarettes is foreign to you. Perhaps you want to move out on your own but you are struggling to find a  job that pays enough. Maybe you want to lose weight, but you haven't changed your eating habits. 
 
Big changes are the result of small successes. It's like climbing a ladder. We can't get to the top without climbing the steps. If you have a broad goal in mind, such as being healthier, having a better relationship with someone, quitting your job, or getting into college-think about all of the steps on the ladder to get there. 
 
Now that you have thought of the steps, start at the bottom. The most important aspect of this is to celebrate each step that you take and succeed in. Punishment decreases behavior. Reinforcement increases behavior. If you want to stop working at your goals, then punishment is the way to go. If you want to reach your goal, reinforcement is your friend and punishment is your enemy. Don’t punish yourself along the way! 
 
What ladder are you ready to climb?

Friday, September 11, 2015

What Behavior or Habit Do You Want To Change?

Have you ever seen the same thing many times and then one day it looked different to you? I recently decided to head the opposite direction (for example east instead of west) on the route I take for my daily (as long as the weather cooperates) mindful walk. Do you know what I saw? The whole route differently. New plants, backyards, trees, sides of houses, cars, potholes, and light posts. I walked on the very same roads I had walked on hundreds of times and a whole new panorama of interesting things to enjoy was illuminated just by walking the opposite direction. This experienced has inspired me to explore areas in the neighborhood I hadn't yet seen,  knowing I would have to turn around once I reached a dead end or a cul de sac on which I did not live - taking the risk of the residents wondering who I was! 
 
Making behavior changes in our lives is very similar process. We get into a habit and get comfortable (even if it is an unhealthy habit) with our daily routine. It is hard to see things differently. It is hard to see that there could be other roads not taken or routes untravelled.  We are afraid to take the risk. 
 
Change happens when we take the risk. Change happens when we see things differently. Change happens when we are mindful of our environment. Change is hard work. But Change can also be very rewarding! 
 
Change is within our reach. Though it might be difficult, change is possible. It might be as simple as making a left instead of a right.  
 
What do you want to change? 
 
Help Wanted! 
 
I am working on a brand new behavior change course to help people learn how to change unhealthy habits and behaviors. It is going to be an awesome program to participate in. In order for me to put together a great course, can you take a minute and help me? 
 
In order to make sure that I address the concerns that most people might have concerning changing unhealthy or disruptive behaviors, I would really appreciate it if you could answer the following brief questions. Please note that your responses are only to help me create a more successful program. I will not be using your names in the course, but may share some of your responses to these questions.  I would be happy to get suggestions from anyone else that you know too!  Just ask them to email their answers to me. See my email address below. 
 
Here are the questions: 
What is the biggest hurdle you face when trying to change a behavior? 
What is a behavior you have tried to change in the past but was unsuccessful? 
 
You can post a comment here or send me an e-mail at DrLauraVSH@meaningfulpsychservices.com 
 
*Please remember that internet communications are not confidential. Please see http://www.meaningfulpsychservices.com/policies-resources for more information. 
 
If you would like to answer but are not comfortable with posting a comment or sending an e-mail, you can also call me at 631-484-9679. 

Friday, August 7, 2015

"Inside Out:" Healthy Emotions

Shortly after deciding the topic of this month's post, my plan was reinforced by watching Pixar's new movie Inside Out. What a great way to view and learn about our emotions! Once again, Pixar had me tearing up, laughing, and adoring this wonderful gem of a movie. Isn't it funny how some children's movies are so appealing to grown-ups too? I suppose this is a goal of Hollywood since children can't take themselves to the movies so parents should have some fun too! 
 
Ok-back on topic here. My goal for this month is to discuss the importance of experiencing a healthy range of emotions. When I set up therapy goals with my clients, we work together to design goals that are reflective of a healthy and meaningful lifestyle. Not only is a goal to be happy all the time unrealistic, it is unhealthy.  
 
There are many lessons that can be learned from Inside Out. I will do my best to avoid spoilers, but I forgive you if you stop reading now and return after you have seen the movie (and I hope you do).  The movie outlines a fascinating view of our brain map and emotions. We see core memories, personality traits, long-term memory, imagination, and filing systems. We also see how emotions play a large role in our behaviors, actions, and choices. We also see how emotions are kicked into gear by how we interpret the environment.  
 
As a parent, I understand the desire for our children to be happy all the time. I even noticed myself on Team Joy for a while there. Sadness was dragging us down.  A deeper look into our lesson here is that Joy isn't everything we need. Each of our other emotions play a key role in our well-being. When working together and in healthy amounts, our emotions keep us safe, and allow us to take risks, experience happiness, connect with others, cry it out when needed, get feedback that something is wrong, identify poor fit in our environment, laugh, resolve conflicts, have our own opinions, be resilient and develop our own personality.
 
I hope you will be able to spend time being mindful of having a healthy range of emotions and expressing them appropriately. Enjoy some time with friends and family, catch a movie (I definitely recommend Inside Out), read a book (perhaps my e-book The Summer it Rained: How Boppy the Beagle Learned to See the Sun Behind the Clouds), and pay attention to your emotions when they are activated. There is some good information available to you there.

Friday, July 10, 2015

What's Your Movie Theater?

Several years ago, I experienced a panic attack (yes, psychologists can get them too). I was sitting in the middle of a packed movie theater with friends when another movie goer had a medical emergency that was very scary and yucky (I'll spare you the details)  and involved 911 and  several medical professionals. The scene played out in the theater and blocked the only non-emergency exit. Faced with sights and sounds of the other person as well as being in the middle of a row with people on either side of me, I panicked. 

Panic attacks occur very suddenly and sometimes can feel as if they come out of nowhere. Other times, we are able to identify an event that sets it into motion.  Let's break this down using my panic attack example. The trigger was the medical emergency. The way that I interpreted this event ("I'm trapped," "are they going to be ok?" "why hasn't the theater stopped the movie and gotten us out of here?" "what's wrong with that person?") affected the way that I felt (nervous, sweaty, breathing rate increased, dizzy, tingling). The cycle of panic continued. I then interpreted the feelings as being more severe or dangerous ("I'm going to be sick," "why do I feel like this?") and then the feelings intensified (sense of derealization, heart rate increases, lose feeling in hands, stomach upset). Thankfully, I recognized the symptoms as a panic attack and was able to utilize coping skills to break the cycle and prevent symptoms from getting worse. I was able to stay for the remainder of the movie, rather than leave once the scene was cleared.  If I left, I would have reinforced my anxiety by escaping the situation. 

For a long time after this experience, I struggled with returning to that theater. This is called avoidance. The problem with avoidance is that you feel better in the short term (e.g., "good thing I didn’t go to that mean and scary movie theater because I feel better now") but the longer we avoid, the harder it is to go back. Family and friends would invite me to go, but I would work hard to get everyone to choose  a different theater so I could avoid going back. This was the wrong thing to do!
Once I finally decided that this was ridiculous and unhealthy, I went back. This is called exposure. The first time was pretty uncomfortable. Over time, it became easier and easier to go to this theater. This is because I had to actively work on breaking the connection between the movie theater and having a panic attack and/or witnessing a scary medical emergency. The more I went and nothing scary happened, the easier it was to go. I also paired the exposure with relaxation techniques. This is to help replace the scary environment with a relaxing one.

If you are avoiding a situation that has an uncomfortable memory for you and is a place where you should be otherwise safe in, I invite you to decide to change this. A psychologist can assist you with the necessary tools and skills to regain the courage and the strength to return to your movie theater, wherever that may be for you.

It feels great to be able to see movies in this theater again, and to be able to share this story with you (which is another form of exposure, by the way).

Wednesday, June 10, 2015

New Space and a New Place

New space and a new place!  I've been a busy bee lately. It's that time of year to engage in some productive spring cleaning-physically, emotionally, cognitively, and spiritually.  See this post about spring cleaning our thoughts for more information about cognitive spring cleaning.  
 
This month, I am going to focus on spring cleaning our physical space and embracing change. Making changes in our lives can be a difficult task, especially when the road ahead is filled with obstacles, diversions, distractions, and options. Sometimes change involves reevaluating goals, ideas, and plans. As I have watched my son grow over these past 9 months, I have observed the many changes that he experiences as he develops. From a tiny little bundle to an active infant with new vocal and motor skills emerging almost daily. If I blink I feel like I will miss a new skill develop. Sometimes change can unfold right before our eyes. Other times, change happens when we actively pursue, engage, and plan for it.  As a new mommy, I have been busy spring cleaning my office, private practice, missions, schedule, goals, plans, and website. 
 
I am excited to announce some new changes! Pop over to my website (www.meaningfulpsychservices.com) to see the new design and let me know what you think. It is my hope that information is readily accessible for you, clients can access their secure client portal with ease, anxiety resources can be shared widely, and I can provide additional online therapy options. Also, spring cleaning this year included new space and a new place. I am going to be seeing clients in a new location in Patchogue. Part of spring cleaning and observing changes in my growing (physically and verbally!) little boy and new schedule as a mommy, I have made the big decision to change to a local office setting.  
 
I will also have new hours. The virtual office will offer online and phone sessions, secure messaging, chat sessions, and journaling and is open Monday-Wednesday. I will be in Patchogue on Tuesdays and in Smithtown on Wednesdays. 
 
Change is happening. Spring cleaning is in the works. Reevaluating physical space is occurring. Redesigning virtual space is evolving. It is my mission to provide ethical, competent, effective, and helpful services to the community. Let's grow together in new spaces. The virtual office serves all of New York. So, you can grow from the comfort of your own couch, home, or office. 
 
Join me in embracing change. Jump on board to a new place and new space-either physically, emotionally, virtually, spiritually, or emotionally.

Friday, May 1, 2015

Focus on Your Mental Health

May is National Mental Health Awareness Month. It is my hope in this month's post to reduce stigma around mental health concerns and utilizing therapy. There is great need for psychological services in our communities. It is an area ever evolving, changing, and growing.  
 
Notice May is Mental Health not Mental Illness Awareness Month. As mental health professionals, our commitment to our work involves not only reducing symptoms, but also identifying and building strengths and abilities. Mental health is so much more than not having mental illness. It is not the absence of symptoms. Many mental health professionals will be able to help people not only get better but to also enhance strengths, skills, and abilities. A favorite Twitter bio of mine by NY Psychiatrist Dr. Samantha Boardman (@sambmd) includes the phrase "Fix what's wrong AND build what's strong." I love this sentence and I am on board. 
 
Early in my training, I was introduced to the concept of looking at what goes right and not always just what is wrong. I am forever grateful for this. It is easy to get caught up in worry, anxiety, stress, and negative thinking patterns. It is not so easy to climb out from under these powerful thoughts and feelings, but it is possible. Therapy can help you dig out, breathe, and keep growing. This is the same concept as the saying "April showers bring May flowers." 
 
In my practice, I utilize cognitive-behavior therapy and positive psychology. These styles of treatment have lots of research behind them and have been shown to help. The American Psychological Association has developed several brief animated videos to demonstrate how psychologists can help. You can watch them here. 
 
Think you don't have time to go to therapy? No problem. With advancing technology, we can offer online therapy services. You can dig out and grow from your own home, office, car, playground, etc. There are options available so that your mental health can be nourished. 
 
If you have questions or would like to learn more about how therapy can help you, I'm happy to talk with you for a free 15 minute consultation. All you have to do is visit my website and schedule a time.